Cancer Free Dental Treatment
Discussion this study systematic overview, which loaded the prevalence of dental caries among cancer survivors were surprisingly in only treats patients compared with those who received radiation or radio chemotherapy. This difference can be explained by differences in the dental treatment of patients before chemotherapy, radiotherapy to be prepared. In radiotherapy of head and neck patients are at an increased risk of permanent Osteoradionecrosis; Then, radiation, including the various protocols often aggressive dental management, such as extractions. Because most of the studies performed in children (12/19 studies) [14-17, 20, 23-25, 27-29, 32] and has been a high proportion of diagnoses among children of hematological malignancy, which largely treated by curative chemotherapy may be another explanation for the prevalence of caries effects. These children are ill for a long time and may have increased the activity of caries due to the need, often very decay supplement to maintain the weight of the food or taking drugs rich in sucrose. In addition, health professionals often feel overwhelmed with the medical diagnosis of his son and often neglect their oral health component. In contrast to the prevalence of caries is the index as it expected greater in patients who have been post radiotherapy compared with patients after chemotherapy and controls who were in good health. The same index/S is a way to get an estimate of dental diseases in a population and is recommended by the World Health Organization (who) for the measurement of the decay of the experience, by simple comparison of international studies . Despite the shortcomings of the same (S) index (such as disability, dental caries between the molar area due to lack of rays x dental, disability, which differ for various reasons recognize missing teeth) and proposed by several authors, the same index / alternative evaluation indices S step still used tool is tooth decay  currently. It would be useful to examine the trends of caries; lengthwise in this work from the view of activity together however it is not possible, was this information due to the lack of specification of normalization or large areas periods of DMTF compilation of data collection interval. There are also attempts, describing the periodontal health and periodontal disease in addition to the plaque and gingival indices in patients with difficult cancer in this report. PI is a measure of oral hygiene, which summarizes the number of tracks and the amount of hard and soft to remove the teeth and gums index is a measure of the amount of inflammation in the gum tissue. Although there were other simplified oral health measures periodontal health index (OHI-S), to explore the profound loss, clinical system removal gums and bleeding this parameters were index, in various reports, studies and combination or in comparison with the other is not have any significant results. The result of various other difficulties include the relations between variables (raw data in percentages) and categorization of the periodontal health without a clear definition. The measures/S even, PI and GI are important clinical considerations for dentists who have predictive indicators to determine future of disease . Most of the studies were carried out intervention in patients after radiotherapy of head and neck, probably because these people are considered to be at increased risk for the development of caries than their counterparts after chemotherapy. As it was to be expected, rinses of chlorhexidine and fluoride are beneficial in reducing the levels of activity of Streptococcus mutans and caries. However, the lack of clinical trials to evaluate the complications of dental diseases for treatment of cancer, despite the recommendation of the consensus of the NIH in 1989 to pursue studies in this field . In this report, the weighted during chemotherapy Odontogenic infections are about 6%. But these studies were small, the samples have no connection on oral pre-existing conditions and had different styles of presentation of the results, so it is difficult to draw conclusions. In addition, these patients oral pre-existing conditions were unknown. Despite the low prevalence of dental infections, there is some evidence in the literature that these infections cause bacteremia in the bloodstream and can be cause for concern in cancer free dental treatment immunocompromised individuals. Based on circumstantial evidence and theoretical considerations, it seems reasonable to propose that the potential of oral infection and acute sources must be removed. In addition, large prospective studies are needed to respond to this concern for theoretical oral infection definitively. Another area with little evidence is the need for separation before dental therapy of cancer, and, if necessary, the spread of the disease is eradicated. However random leads a controlled prospective study to evaluate the Elimination of oral infections before ethics concerns probably patients can represent any cancer treatment dental treatment, especially if the and enough time for dental cleaning. Eliminate acute dental problems against the Elimination of dental and acute chronic problems can be a practical research design. At the time of this review, there was a cohort study, the feasibility of minimum distance dental interventions come before chemotherapy patients studied. They found a conversion rate of 4% of the dental disease earlier diagnosed severe chronic periodontitis  inter therapy chronic acute pathology and relative frequency of the conversion rate of 10% of acute conversion of early diagnosis. Based on their findings, the authors found that patients with a chronic condition of the tooth with chemotherapy, could be sure how the rate of conversion of an acute condition is rare. Due to significant differences in the effects of dental disease in patients before radiation therapy, chemotherapy against the people, not the results of this study on the patients, radiation therapy can be extrapolated. Currently, there is no study, which has studied or evaluated, dental treatment protocol plus radiation therapy of patients and are more convenient. . . . . .